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It's about my health—not healthcare or human services

Read Accenture's Analysis of State Health Innovation Plans revealing momentum around the convergence of next generation health and human services.

Overview

Accenture analysis of State Health Innovation Plans (SHIPs) reveals that they show early momentum around the next generation of health and human services convergence—if states can effectively implement and scale their strategies.

Collectively, SHIPs represent the current state view on the art of the possible in reinventing care delivery. Analysis of the plans shows that states envision coordinated, collaborative and cost-effective health and human services models that are much different from “the system” as it is today.

SHIPs emphasize the need to address influences beyond healthcare—behavioral and social dimensions—to improve health outcomes. The vision is for an ecosystem for health and human services convergence. How are states communicating this vision and what strategies are they developing today to make it a reality?

Human Services Summit 2014: The Dynamics of Convergence

Background

SHIPs represent a critical planning step in the State Innovation Model Initiative. The Centers for Medicare and Medicaid Services (CMS) awarded $300 million in 2013 to 25 states to design or test improvements to care delivery systems and payment models across Medicare, Medicaid and the Children’s Health Insurance Program. Nine states are in pre-testing and testing phases, and 16 have completed model design. A second funding round has begun, which brings the CMS investment to just over $1 billion to date and will spur development of more plans and increase model test funding.1

1. Centers for Medicare & Medicaid, “State Innovation Models Initiative: General Information,” accessed September 5, 2014 http://innovation.cms.gov/initiatives/state-innovations/

Analysis

Analysis reveals three forces of change that, if executed effectively at scale, will positively transform the future of health and human services delivery.

  1. From dependence to empowered digital citizen
    States are exploring an array of digital tools. Accenture estimates that 60 percent are making investments for equipping consumers with patient portals/tools for self-health management.

  2. From care management to community care
    States are investing in programming for integrating either behavioral or preventative care into their primary care system—85 percent of SHIPs integrate behavioral care.

  3. From data silos to seamless insight
    Fifty-five percent of states with SHIP models are making investments in constructing or modifying all payer claims databases to provide access to more stakeholders.

View the infographic

Recommendations

While there is work to do to implement and scale states’ strategies, the consensus around the importance of health and human services convergence and person-centered care, which is already happening in local hotspots nationwide, is a promising sign of good things to come for My Health—and yours.

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